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WRA Young Scholars Program 115 College St., Hudson, Ohio 44236 USA Phone: 330.342.9640 Fax: 330.650.5805 E-mail: dibiasej@wra.net www.wra.net/youngscholars

Before sending this form to your child’s present school, please photocopy it for your files.

is applying to WRA’s Young Scholars Program. To complete the application, please forward a transcript, including courses now in progress, the most current grades and last year’s grades, as well as any available educational testing and/or information regarding this student to: Western Reserve Academy Young Scholars Program Attention: Joe DiBiase 115 College St., Hudson, Ohio 44236

We appreciate your cooperation and thank you in advance for your assistance.

Parent’s signature

Date

Note to parents: This form should be given to your child’s present school and not returned to Western Reserve Academy. Western Reserve Academy adheres to a longstanding policy of admitting students of any race, color, creed, religion, national and ethnic origin subject to all the rights, privileges, programs and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, creed, religion, national or ethnic origin, or disability in the administration of its educational policies, scholarship and loan program or other school-administered programs.


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